Displaying 1 - 2 of 2
Contract Number Brand Code Brand Name Package Size Formulary Category Unit Price Strength Max. Reimbursable / Month Drug Contract Start Date Drug Contract End Date Restrict To Ophthalmologist Restrict To Pulmonologist Status Description Max Repeats
40 0611B MELPHALAN 2MG TAB (TPP/AHI) 50'S A 1.50 2MG 63 2022-04-01 2024-03-31 6
41 0611C MELPHALAN 2MG TAB (KWA) 50'S A 1.6636 2MG 63 2024-04-01 2026-03-31 6